Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,255.58 / $5,063.00 / $7,421.00	Facility		$2,255.58	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,503.83 / $2,503.83 / $2,503.83	Facility		$2,503.83	$2,503.83	$2,503.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,911.91 / $57,200.00	Facility		$500.00	$1,911.91	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $189.62 / $189.62 / $189.62	Facility	AS	$189.62	$189.62	$189.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,933.66 / $2,690.30 / $4,862.66	Professional		$1,933.66	$2,690.30	$4,862.66
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $77.80 / $77.80 / $77.80	Professional	AS	$77.80	$77.80	$77.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00